Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.01 / $261.99 / $7,920.26	Facility		$101.01	$261.99	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $79.50 / $297.52	Professional		$38.65	$79.50	$297.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $132.76 / $315.38	Professional		$72.13	$132.76	$315.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $108.23 / $267.68	Professional		$80.70	$108.23	$267.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $119.40 / $246.30	Facility		$60.43	$119.40	$246.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $143.24 / $241.57	Professional		$72.06	$143.24	$241.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.79 / $161.88 / $224.18	Facility		$91.79	$161.88	$224.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $136.05 / $301.19	Facility		$57.64	$136.05	$301.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $142.12 / $293.77	Professional		$84.12	$142.12	$293.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $156.69 / $332.57	Professional		$88.05	$156.69	$332.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $213.84 / $340.04	Professional		$151.75	$213.84	$340.04